| NPI | 1356493548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA N FELLERS Office Manager 970-221-1919 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2008-08-15 |